Test Code LAB168 Bilirubin, Total and Direct, Blood
Reporting Title
Bilirubin, Total and Direct
Methodology
Roche Diagnostics, Jendrassik-Grof RMH, GMC, DH, DMH, GMH, WECC, PMC, GCMH, BH, OBH, MGH, MH, HMH, SH
Performing Laboratory
OhioHealth Laboratory Services-RMH,GMC,DH,DMH, MGH, GMH, HMH, WECC, PMC, OBH, GCMH, BH Core Laboratories
Specimen Requirements
Collection Instructions:
1. Serum and Plasma gel tubes should be centrifuged within 2 hours of collection.
2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.
Pediatrics
Draw a full, green-top (heparin) Capiject® blood collection tube. Mix by gently inverting 6 to 8 times. Promptly send heparinized whole blood refrigerated. If there is an expected delay in transport, spin down and send 0.25 mL of heparinized plasma refrigerated.
Adults
Submit only 1 of the following specimens:
Preferred:
Serum
Draw blood in a gold-top serum gel tube(s). Spin down and send 1 mL of serum refrigerated. Protect specimen from light.
Note:
1. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.
2. Indicate serum on request form.
3. Label specimen appropriately (serum).
Alternate:
Plasma
Draw blood in a mint green-top (heparin) gel tube(s). Spin down and send 1 mL of heparinized plasma refrigerated. Protect specimen from light.
Note: 1. Indicate plasma on request form.
2. Label specimen appropriately (plasma).
Sample Stability Information:
If protected from light: 2 days at room temperature; 7 days refrigerated; 6 months frozen
Specimen Transport Temperature
Refrigerate/Ambient OK/Frozen NO
Reference Values
BILIRUBIN, TOTAL
0-1 days: 2.0-6.0 mg.dL
2-3 days: 3.0-9.0 mg/dL
4-22 days: 4.0-12.0 mg/dL
≥23 days: 0.0-1.3 mg/dL
Critical value ≤30 days: >18.0 mg/dL
Alerting category: Always called within 1 hour (initial result only)
BILIRUBIN, DIRECT
≤22 days: 0.0-1.5 mg/dL
≥23 days: 0.0-0.40 mg/dL
Day(s) Test Set Up
Monday through Sunday; Continuously
Test Classification and CPT Coding
82247 - bilirubin, total
82248 - bilirubin, direct